Appendix 11 - Invoice Template (IFB R00B4600179).xlsx

XLSX spreadsheet 46 KB Posted

Attached to
Farm to School Food Hub Aggregation
Solicitation number
BPM053674
Issued by
Maryland

About this file

Appendix 11 - Invoice Template Summary

This document is an invoice template provided by the Maryland State Department of Education (MSDE) for the Farm to School Food Hub Aggregation procurement initiative. The template serves as the standardized format that successful bidders must use when submitting invoices for payment of goods and services delivered under this Invitation for Bids (IFB R00B4600179). The template is designed to ensure consistent invoice submission and processing across all participating Local Education Agencies (LEAs) and the selected vendor(s) responsible for centralized sourcing, procurement, and distribution of unprocessed or minimally processed local food products.

The invoice template includes designated fields for essential billing information such as vendor identification, invoice number and date, itemized product descriptions, quantities supplied, unit prices, line item totals, and payment terms. The template is structured to facilitate accurate tracking of food deliveries to multiple LEAs participating in the National School Lunch Program and School Breakfast Program, enabling proper reconciliation of invoiced amounts against delivery records and contracted pricing. Use of this standardized template is a mandatory requirement for all vendors selected through this procurement process to ensure compliance with MSDE's accounting and payment procedures.

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Food Distribution

Monthly Invoice (Attach Signed Delivery Receipts)
Company Name
Company Address
Date of Invoice
Invoice Number
Person Submitting Invoice
Email Address
MSDE Contract Number
Invoice Amount - Food
Invoice Amount - Processing /Storage
Total Invoice Amount
Date of DeliveryLEA NameSchool SiteAddressItemItem SizePrice per ItemTotal Pounds (lbs)Total Sales Value (Invoice Amount)Meal Item Will Be ServedOrigin of Food Producer NameAddressCityStateLocal Zip CodeWithin 400 Miles of Delivery?Socially Disadvantaged Producer?Small Business?Comments or Notes
Example: 9/25/2023Frederick CountyFrederick High123 Farm Streetmushrooms10 lb case$19.2020$38.40breakfast and lunchABC Farm200 W Baltimore StreetBaltimoreMD21201YYY
Example: 9/27/2023Frederick CountyEllison Elementary123 School Laneground beef patties20 lb case$100.00120$600.00lunch123 Farm201 E. Hanover StreetBaltimoreMD21201YNY
SUBTOTAL$638.40
Example: 9/25/2023Garrett CountyGarrett High678 School Lanemushrooms10 lb case$19.2010$19.20lunchABC Farm200 W Baltimore StreetBaltimoreMD21201YYY
Example: 9/27/2023Garrett CountyMitchel Elementary1010 Farm Streetground beef patties20 lb case$100.0040$200.00lunch123 Farm201 E. Hanover StreetBaltimoreMD21201YNY
SUBTOTAL$219.20
Example: 10/10/2023Total Invoice Amount - Food$857.60

Processing & Storage

DateServiceBrief DescriptionTotal PoundsCostBusiness NameAddressCityStateZip CodeWithin 400 Miles of Delivery?Socially Disadvantaged?Small Business?Comments or Notes
Example: 9/13/2023Processingslicing mushrooms30 lbs$200TLC Processing625 Orchard St.ElktonMD21330YNY
Example: 9/14/2023Storagestoring mushrooms30 lbs$100XYZ Warehouse325 Cherry LaneBaltimoreMD21224YNY

Example: 10/10/2023 Total Invoice Amount - Processing/Storage $300

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